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South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde

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https://www.readbyqxmd.com/read/30004349/quality-of-counselling-and-support-provided-by-the-south-african-national-aids-helpline-content-analysis-of-mystery-client-interviews
#1
N Arullapan, M F Chersich, N Mashabane, M Richter, N Geffen, J Veary, L Jankelowitz, F Scorgie, W D F Venter
BACKGROUND: Telephone helplines can facilitate referral, education and support for patients living with HIV or those concerned about the infection. The anonymity of helplines facilitates discussion of sensitive issues that are difficult to raise face to face. These services could support the expansion of HIV self-testing. However, maintaining quality and standardising messages in rapidly evolving fields such as HIV is challenging. OBJECTIVES: To evaluate the quality of the South African (SA) National AIDS Helpline...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004348/a-multicentre-cross-sectional-study-investigating-the-prevalence-of-hypertensive-disease-in-patients-presenting-for-elective-surgery-in-the-western-cape-province-south-africa
#2
K Van der Spuy, M Crowther, M Nejthardt, F Roodt, J Davids, J Roos, E Cloete, T Pretorius, G Davies, J Van der Walt, C Van der Westhuizen, M Flint, J Swanevelder, B Biccard
BACKGROUND: Hypertension is common, affecting over one billion people worldwide. In sub-Saharan Africa, hypertensive disease not only affects the older population but is becoming increasingly prevalent in younger individuals. In South Africa (SA), >30% of the adult population has hypertension, making it the single most common cardiovascular risk factor and the predominant contributor to cardiovascular disease and mortality. Elevated blood pressure is the most common perioperative comorbidity encountered in non-cardiac surgical patients, with an overall prevalence of 20 - 25%, and it remains poorly controlled in low- and middle-income countries...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004347/striking-increase-in-the-incidence-of-infective-endocarditis-associated-with-recreational-drug-abuse-in-urban-south-africa
#3
R Meel, M R Essop
BACKGROUND: We have recently noted a dramatic rise in the number of patients with infective endocarditis (IE) related to intravenous (IV) nyaope (a mixture of heroin, cocaine and antiretroviral drugs) presenting to Chris Hani Baragwanath Academic Hospital in Johannesburg, South Africa. OBJECTIVES: To document the clinical and echocardiographic characteristics of these patients. METHODS: Clinical and echocardiographic characteristics of all patients (N=68) with IE due to IV nyaope use were retrospectively extracted from hospital records (December 2014 - February 2017)...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004346/describing-key-performance-indicators-for-waiting-times-in-emergency-centres-in-the-western-cape-province-south-africa-between-2013-and-2014
#4
K Cohen, S Bruijns
BACKGROUND: Data measured as key performance indicators (KPIs) are used internationally in emergency medicine to measure and monitor quality of care. The Department of Health in the Western Cape Province, South Africa, introduced time-based KPIs for emergency centres (ECs) in 2012. OBJECTIVES: To describe the most recently processed results of the audits conducted in Western Cape ECs between 2013 and 2014. METHODS: A retrospective, descriptive study was conducted on data collected in the 6-monthly Western Cape EC triage and waiting time audits for 2013 - 2014...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004345/a-seasonal-autoregressive-integrated-moving-average-sarima-forecasting-model-to-predict-monthly-malaria-cases-in-kwazulu-natal-south-africa
#5
O Ebhuoma, M Gebreslasie, L Magubane
BACKGROUND: South Africa (SA) in general, and KwaZulu-Natal (KZN) Province in particular, have stepped up efforts to eliminate malaria. To strengthen malaria control in KZN, a relevant malaria forecasting model is important. OBJECTIVES: To develop a forecasting model to predict malaria cases in KZN using the Seasonal Autoregressive Integrated Moving Average (SARIMA) time series approach. METHODS: The study was carried out retrospectively using a clinically confirmed monthly malaria case dataset that was split into two...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004344/hepatitis-c-prevalence-in-hiv-infected-heterosexual-men-and-men-who-have-sex-with-men
#6
N A Gogela, M W Sonderup, K Rebe, T Chivese, C W Spearman
BACKGROUND: Globally 1% of individuals are infected with hepatitis C virus (HCV). In South Africa (SA) the prevalence ranges between 0.3% and 1%, with few prospective screening data available. Similarly, local data on transmission modes of HCV are limited, but probably include parenteral routes and pre-1992 blood or blood products. The risk of heterosexual transmission of HCV is low but is increased in men who have sex with men (MSM), with co-transmission risk of both HIV and HCV. OBJECTIVES: Given few local data, we sought to better understand HCV characteristics and prevalence in two groups of HIV-infected men...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004343/incidence-of-hodgkin-lymphoma-in-hiv-positive-and-hiv-negative-patients-at-a-tertiary-hospital-in-south-africa-2005-2016-and-comparison-with-other-african-countries
#7
N Naidoo, A Abayomi, C Locketz, F Musaigwa, R Grewal
BACKGROUND: Hodgkin lymphoma (HL) is the most common non-AIDS-defining cancer in HIV-positive patients. Studies on South African (SA) populations have described the prevalence as 7 - 17% of all lymphomas, 8 - 27% of head and neck lymphomas, 9% of lymph node biopsies and 4% of HIV-related malignancies. OBJECTIVES: To describe the incidence of HL at our centre between 2005 and 2016 by year, gender, HIV status, histological subclassification and bone marrow involvement, and compare these findings with similar SA and African studies...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004342/rapunzel-syndrome-a-south-african-variety
#8
J Plaskett, G Chinnery, D Thomson, S Thomson, B Dedekind, E Jonas
Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background, demographics, clinical presentation, diagnosis, surgical management and complications. Five female patients with a median age of 19 (range 12 - 27) years presented with clinical symptoms, including early satiety, intermittent vomiting with gastric outlet obstruction, abdominal pain and weight loss...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004341/obtaining-informed-consent-for-a-sterilisation-in-the-light-of-recent-case-law
#9
C J Badul, A Strode, P P Singh
The need to obtain informed consent prior to any sterilisation is a very well-established ethical and legal obligation. South African law, however, does not specifically state who is responsible for obtaining informed consent before performing a sterilisation. This has implications for the liability of a surgeon or gynaecologist in circumstances where the informed consent is defective. Due to the vagueness of the applicable law, a surgeon or gynaecologist might be held liable, even in situations where he/she did not obtain the consent and relied on a nurse or assistant to procure the relevant informed consent...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004340/current-strategies-are-inadequate-to-curb-the-rise-of-tobacco-use-in-africa
#10
N Peer
Recently, there have been significant advances in the battle against tobacco use in Africa, with achievements including ratification of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) and the passing of tobacco control legislation in several countries. Many African countries have achieved measured success, while Uganda, South Africa and Mauritius have accomplished significantly more in their efforts to curb tobacco use. Nevertheless, few African countries meet the standards of the individual WHO FCTC articles with regard to comprehensive implementation...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004339/antimicrobial-stewardship-in-a-rural-regional-hospital-growing-a-positive-culture
#11
E Junaid, L Jenkins, H Swanepoel, Z North, T Gould
Antimicrobial stewardship programmes have been introduced worldwide in response to the rise in antimicrobial resistance. The World Health Organization has mandated each Member State to produce a plan to address this problem. We report on the organic development of an antibiotic stewardship programme in a rural regional hospital in a resource-limited setting in South Africa. This has resulted in organisational change with increased awareness, participation, monitoring and education in antibiotic stewardship throughout the hospital...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004338/national-coverage-of-reflex-cryptococcal-antigen-screening-a-milestone-achievement-in-the-care-of-persons-with-advanced-hiv-disease
#12
N P Govender, D K Glencross
No abstract text is available yet for this article.
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004337/completing-laboratory-request-forms-diligently-when-did-it-become-optional
#13
C J Opperman
No abstract text is available yet for this article.
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004336/post-pulmonary-tuberculosis-complications-in-south-africa-and-a-potential-link-with-pulmonary-hypertension-premise-for-clinical-and-scientific-investigations
#14
B W Allwood, G J Maarman, C G Kyriakakis, A F Doubell
No abstract text is available yet for this article.
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004335/contribution-of-congenital-disorders-to-neonatal-mortality-in-south-africa
#15
H L Malherbe, A L Christianson, D Woods, C Aldous
No abstract text is available yet for this article.
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004334/high-risk-of-suicide-among-high-school-learners-in-umgungundlovu-district-kwazulu-natal-province-south-africa
#16
N Khuzwayo, M Taylor, C Connolly
BACKGROUND: Worldwide, suicide affects the most vulnerable populations, including adolescents and young adults. It is estimated that suicide will contribute more than 2% to the global burden of disease by 2020. Information about the prevalence of suicidal behaviour and the sociodemographic characteristics and risk factors associated with suicide in the South African (SA) rural context is important for local and national policy and contributes to global understanding of the phenomenon...
May 25, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004333/predictors-of-unplanned-pregnancies-among-female-students-at-south-african-technical-and-vocational-education-and-training-colleges-findings-from-the-2014-higher-education-and-training-hiv-and-aids-survey
#17
N Mbelle, M Mabaso, G Setswe, S Sifunda
BACKGROUND: Unplanned pregnancies among college/tertiary female students pose a serious public health concern in South Africa (SA) and are associated with adverse health and social outcomes that impact negatively on educational progress and future career prospects. OBJECTIVES: To examine the potential predictors of unplanned pregnancy among female students at Technical and Vocational Education and Training (TVET) colleges in SA. METHODS: This analysis used data drawn from the 2014 Higher Education and Training HIV and AIDS survey, which was a nationally representative survey of TVET college students in SA...
May 25, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004332/outcomes-of-outpatient-ureteral-stenting-without-fluoroscopy-at-groote-schuur-hospital-cape-town-south-africa
#18
S Sinha, S Z Jaumdally, F Cassim, J Wicht, L Kaestner, A Panackal, C H Jehle, P Govender, S De Jager, E De Wet, M Dewar, M E Kolia, S Salukazana, C Moolman, A P Van den Heever, B Kowlessur, G Pinto, J Lazarus
BACKGROUND: Ureteral stenting is generally a theatre-based procedure that requires a multidisciplinary team and on-table imaging. Limited hospital bed numbers and theatre time in our centre in Cape Town, South Africa, have led us to explore an alternative approach. OBJECTIVES: To see whether outpatient insertion of ureteric stents under local anaesthesia without fluoroscopy was a possible and acceptable alternative to theatre-based ureteral stenting. METHODS: Ureteral stenting (double-J stents and ureteric catheters) was performed with flexible cystoscopy under local anaesthesia and chemoprophylaxis, but without fluoroscopic guidance, in an outpatient setting...
May 25, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004331/is-adrenal-suppression-in-asthmatic-children-reversible-a-case-series
#19
E W Zöllner
BACKGROUND: Six hypocortisolaemic asthmatic children on steroids given at physiological doses were identified during a previous study. OBJECTIVES: To establish whether hypothalamic-pituitary-adrenal axis suppression (HPAS) could be reversed in hypocortisolaemic asthmatic children treated with steroids without sacrificing asthma control. METHODS: In this case series, treatment of six hypocortisolaemic patients was modified by introducing steroid-sparing asthma medications...
May 25, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30004330/phenotypic-and-genotypic-correlation-of-carbapenememase-producing-enterobacteriaceae-and-problems-experienced-in-routine-screening
#20
A Singh-Moodley, O Perovic
BACKGROUND: The emergence and transmission of carbapenem-resistant Enterobacteriaceae (CRE) is a concern in both the clinical and public health arenas. Reliable and accurate detection of these organisms is required for patient management and infection prevention and control purposes. In the routine laboratory, phenotypic methods are utilised for identification of CRE. OBJECTIVES: To investigate the phenotypic profiles of suspected carbapenemase-producing Enterobacteriaceae (CPE) isolates generated by the automated MicroScan Walkaway system making use of the Clinical and Laboratory Standards Institute (CLSI) guidelines, and correlate these with carbapenemase production by molecular methods...
May 25, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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